<div class="container-fluid">
    <style>
        #pad-wrapper label {
            cursor: default;
            width: 30%;
        }

        div {
            margin: 10px 10px;
            padding: 0px 5px;
        }
    </style>
    <div id="pad-wrapper">
        <div class="table-wrapper products-table section">
            <div class="row-fluid head">
                <div class="span12">
                    <h4>报告编辑</h4>
                </div>
            </div>

            <form name="from1" action="save" id="dataForm" method="post">
                <input type="hidden" name="bind_id" value="<?php echo $bind_id ?>">
                <div class="row-fluid head">
                    <div class="span12">
                        Bsm 1基因型:
                        <input type="text" name="Bsm1" id="Bsm1" value="<?php if(isset($userreport['Bsm1'])) echo $userreport['Bsm1']; ?>">
                        Bsm 1风险度:
                        <select name="sBsm1">
                            <option value="" <?php if(isset($userreport['Bsm1']) && $userreport['sBsm1'] == 0) echo 'selected="selected"'; ?>>请选择</option>
                            <option value="1" <?php if(isset($userreport['Bsm1']) && $userreport['sBsm1'] == 1) echo 'selected="selected"'; ?>>高风险</option>
                            <option value="2" <?php if(isset($userreport['Bsm1']) && $userreport['sBsm1'] == 2) echo 'selected="selected"'; ?>>低风险</option>
                            <option value="3" <?php if(isset($userreport['Bsm1']) && $userreport['sBsm1'] == 3) echo 'selected="selected"'; ?>>中风险</option>
                        </select>
                    </div>
                </div>
                <div class="row-fluid head">
                    <div class="span12">
                        Fork1基因型:
                        <input type="text" name="Fork1" value="<?php if(isset($userreport['Fork1'])) echo $userreport['Fork1'] ?>">
                        Fork1风险度:
                        <select name="sFork1">
                            <option value="" <?php if(isset($userreport['sFork1']) && $userreport['sFork1'] == 0) echo 'selected="selected"'; ?>>请选择</option>
                            <option value="1" <?php if(isset($userreport['sFork1']) && $userreport['sFork1'] == 1) echo 'selected="selected"'; ?>>高风险</option>
                            <option value="2" <?php if(isset($userreport['sFork1']) && $userreport['sFork1'] == 2) echo 'selected="selected"'; ?>>低风险</option>
                            <option value="3" <?php if(isset($userreport['sFork1']) && $userreport['sFork1'] == 3) echo 'selected="selected"'; ?>>中风险</option>
                        </select>
                    </div>
                </div>
                <div class="row-fluid head">
                    <div class="span12">
                        Apa 1基因型:
                        <input type="text" name="Apa1" value="<?php if(isset($userreport['Apa1'])) echo $userreport['Apa1'] ?>">
                        Apa 1风险度:
                        <select name="sApa1" value="item1">
                            <option value="" <?php if(isset($userreport['sApa1']) && $userreport['sApa1'] == 0) echo 'selected="selected"'; ?>>请选择</option>
                            <option value="1" <?php if(isset($userreport['sApa1']) && $userreport['sApa1'] == 1) echo 'selected="selected"'; ?>>高风险</option>
                            <option value="2" <?php if(isset($userreport['sApa1']) && $userreport['sApa1'] == 2) echo 'selected="selected"'; ?>>低风险</option>
                            <option value="3" <?php if(isset($userreport['sApa1']) && $userreport['sApa1'] == 3) echo 'selected="selected"'; ?>>中风险</option>
                        </select>
                    </div>
                </div>
                <div class="row-fluid head">
                    <div class="span12">
                        Taq 1基因型:
                        <input type="text" name="Taq1" value="<?php  if(isset($userreport['Taq1'])) echo $userreport['Taq1'] ?>">
                        Taq 1风险度:
                        <select name="sTaq1">
                            <option value="" <?php if(isset($userreport['sTaq1']) && $userreport['sTaq1'] == 0) echo 'selected="selected"'; ?>>请选择</option>
                            <option value="1" <?php if(isset($userreport['sTaq1']) && $userreport['sTaq1'] == 1) echo 'selected="selected"'; ?>>高风险</option>
                            <option value="2" <?php if(isset($userreport['sTaq1']) && $userreport['sTaq1'] == 2) echo 'selected="selected"'; ?>>低风险</option>
                            <option value="3" <?php if(isset($userreport['sTaq1']) && $userreport['sTaq1'] == 3) echo 'selected="selected"'; ?>>中风险</option>
                        </select>
                    </div>
                </div>
                <div class="row-fluid head">
                    <div class="span12">
                        综合风险度 :
                        <select name="report_1_value">
                            <option value="" <?php if(isset($userreport['report_1_value']) && $userreport['report_1_value'] == 0) echo 'selected="selected"'; ?>>请选择</option>
                            <option value="1" <?php if(isset($userreport['report_1_value']) && $userreport['report_1_value'] == 1) echo 'selected="selected"'; ?>>高风险</option>
                            <option value="2" <?php if(isset($userreport['report_1_value']) && $userreport['report_1_value'] == 2) echo 'selected="selected"'; ?>>低风险</option>
                            <option value="3" <?php if(isset($userreport['report_1_value']) && $userreport['report_1_value'] == 3) echo 'selected="selected"'; ?>>中风险</option>
                        </select>
                    </div>
                </div>
                <div class="row-fluid head">
                    <div class="span12">
                        <input type="submit" value="确认" class=" btn-flat primary">
                        <input type="button" value="取消" onclick="javascript:history.back(-1);" class=" btn-flat primary">
                    </div>
                </div>
            </form>
        </div>
    </div>
 